Mary Graebner, is a
Student In An Organized Health Care Education/training Program based in Lake Elmo, Minnesota. Mary Graebner is licensed to practice in * (Not Available) (license number ) and current practice location is
11016 Prairieview Trl N, Lake Elmo, Minnesota. can be reached at office (for appointments etc.) via phone at
(651) 323-7557.
NPI number for Mary Graebner is 1760375463 and current mailing address is 11016 Prairieview Trl N, Lake Elmo, Minnesota.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1760375463.
Provider's Profile
| Full Name | Mary Graebner |
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| Gender | |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 11016 Prairieview Trl N, Lake Elmo, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760375463
- Provider Enumeration Date: 05/31/2025
- Last Update Date: 05/31/2025
Medical Identifiers
Medical identifiers for Mary Graebner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760375463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Graebner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Graebner,
11016 Prairieview Trl N,
Lake Elmo, MN 55042-4463
Ph: () - | Mary Graebner,
11016 Prairieview Trl N,
Lake Elmo, MN 55042-4463
Ph: (651) 323-7557 |
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